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I am a 44 year old single mother of two beautiful children; Brian 20, and Nicole 17. Being a mom is the thing I am most proud of; I could sit and ta...
 
 
 
 

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When Money Collides with Cancer Treatments: How the Economy is Affecting Health Care Decisions

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There is never a good time to find out you have cancer, but now may prove to be the worst time.  With the economy and health care crisis making day to day life more costly for many Americans, a cancer diagnosis can be financially devastating.  At the exact time a cancer patient needs to find the strength to fight for their life, they now need to worry just as much about whether or not they can afford treatment.  There's just something fundamentally wrong with that.

Woman getting mammogram

From Kalamazoo Gazette  - Health care bill helps, but medical costs still sickening...

The American Cancer Society has released the results of a recent survey that indicates nearly half of cancer patients under age 65 have had difficulty paying for health care costs such as health insurance premiums, co-pays and prescription drugs in the past two years, and that one-third of those currently in active cancer treatment have put off some type of health care in the past year.
Other findings:

  • One in three cancer patients under age 65 struggles to pay for basic necessities — such as food, heat and housing — and other bills in the past two years.
  • One in five has used up all or most of savings.

What I find even more despicable is how insured patients are being denied the most cutting edge treatments because their insurance carriers think they are too expensive.

In a classic "what came first the chicken or the egg" scenario...Are the pharmaceutical companies to blame for charging too much money for newer, less invasive, oral chemotherapies?  Or are the insurance companies to blame for finding loop-holes in their plans to avoid paying for them? Quite frankly, I don't give a damn. If the doctor believes one treatment will be more successful than another, that's the treatment the patient should get.  Period.

When it comes to life and death health-care decisions, the doctor needs to be the one with the final say in a patient's treatment, not insurance companies.  Otherwise, cancer survival becomes a deadly discrimination where only the wealthy survive.

How much is your life worth?

From The Washington Post - Gaps in Insurance Policies Make Oral Drugs Too Pricey For Some Cancer Patients...

[A] growing number of patients are being denied access to newer oral chemotherapy drugs or are required to shoulder hefty out-of-pocket costs, sometimes thousands of dollars a month, for cancer pills with annual price tags of more than $75,000. The reason is rooted in a reimbursement system that covers IV chemotherapy as a medical benefit but considers less-invasive oral chemotherapy to be part of a patient's drug plan, which tends to be far less generous. Some plans cap drug benefits at $5,000 annually, which can amount to less than a month's supply of chemotherapy pills. The disparity is likely to affect increasing numbers of cancer patients, because 25 percent of 400 chemotherapy drugs in the development pipeline are oral.

If you are diagnosed with cancer and are concerned about the cost of treatment, the American Cancer Society has some suggestions on how to address your concerns with your doctor.

The Cost of Cancer...

Here are some ideas for ways to bring up the subject of costs as your treatment plan is developed:

  • I am worried about how much cancer treatment is going to cost me. Can we talk about it?
  • I know this will be expensive. Where can I get some help to get an idea of the total cost of the treatment we've talked about?

Some related or follow-up questions you may need to ask:

  • Will my health insurance pay for this treatment? How much will I have to pay myself?
  • If I can't afford to follow this treatment, are there other treatments that cost less?
  • Is there any other way I can get help to pay for this treatment?
  • Does my health insurance company need to approve any part of the
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Bibled 5 pts

This was a great article. I was wondering what you thought about turning down elderly patients for transplants and treatments because it would be considered "a waste".
When I first read about that my father had just been diagnosed with lung cancer and it infuriated me.
The fact that a human life can be judged and have a price tag placed on it, as you said, is a travesty.
Thank you for sharing this article. <3

KrisKelly1 5 pts

I have been in treatment for Multiple Myeloma for 21 months. One of the drugs I have been on is Thalidomide made by Celegene. In the fifties this was given to pregnant women to treat nausea in Europe. It led to extreme birth defects and was taken off the market. I have read that it cost around a dollar a pill. Celegene found it is very effective in treating MM. It is now a front line treatment. I pay $5300 a month for 28 pills. Luckily my insurance covers this. Three months ago my Dr. switched me to Revelimid a newer generation of the same med. It supposedly causes less neuropathy. It costs over $7000 for 21 pills a month and thankfully once again my insurance covers it after my high deductible is met. It is $2800. I easily meet it within the first month. So having said all that I think we really need to closely examine these pharmaceutical companies. Celegene has the monopoly on these two meds. and they are making fortunes!!! How does this kind of thing get addressed? I'm sure there are many more incidences of this. Thanks for letting me "air my opinion! Kris k4good@aol.com, and my blog "howtomoveamountain.blogspot.com

MLOKnitting 5 pts

For-Profit Insurance is evil.

Right now I am in the midst of determining just what my insurance is denying from last August, September, and October - previously just August - in regards to my standard care plan for Ovarian Cancer.

They keep changing what they say they don't cover in order to stick me and / or my doctor with a larger share of my treatment costs. I know people who could not continue care because they had no means to continue care. And, many don't even have the means to keep basic living standards as they move forward.

Something is very wrong with the people of the USA, I think. There is a meanness where there is no recognition of "There but for the grace of God go I," anymore. Most other modern societies care for their people. Here, we throw out the infirm as if they are waste.

MLO / Melissa

Books, Movies, Games, Ovarian Cancer, and Life in General at http://www.mloknitting.com/

Catherine Morgan 5 pts

Hi Melissa, thanks for commenting. It's very scary, especially when it comes to cancer treatment. Early diagnosis is so important, and of course, early diagnosis doesn't even matter if the patient can't afford treatment. It's a deadly game the insurance companies are playing, and it's clear that patients are on the losing end. It's all very sad.
Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

Catherine Morgan 5 pts

I wonder how much money these insurance companies are making each year? God forbid they allow themselves to make a little less profit so their customers can actually afford treatment (and live). The whole thing makes my blood boil.

Thanks for sharing your story Jenna. I hope your grandmother's treatment is successful, I'll keep her in my prayers.

Contributing Editor Catherine Morgan
Also at Catherine-Morgan.com ( http://catherine-morgan.com/ )

JennaHatfield 10 pts

My grandmother, who lost her husband (my beloved grandfather) this past January, was diagnosed with breast cancer a few months ago. She had a lumpectomy and has started radiation treatments. At her first appointment, she found out that she will have to pay $90 per treatment, a total of $3000. The doctor explained that when the health care bill passed, the insurance company tripled the copay. A nurse said that there have been a few who simply "opted out" of treatment because they can't afford it.

Can't afford to fight to live. It's awful.

Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )), from Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ), is a freelance writer and newspaper photographer.

Melissa Ford 5 pts

Money definitely comes into play when making health decisions; when deciding whether or not to go to the doctor. And it's scary because by not going, people are possibly creating more problems.

Melissa writes Stirrup Queens ( http://stirrup-queens.com ) and Lost and Found ( http://lostandfoundandconnectionsabound.blogspot.c... ). Her book is Navigating the Land of If ( http://thelandofif.blogspot.com/ ).